Cash Transfer Program Research Articles

The impact of unconditional cash transfers on enhancing household wellbeing in Pakistan: evidence from a quasi-experimental design

Cash transfer programs have emerged as potent tools for alleviating poverty and enhancing the living conditions of the most deprived households in developing nations. Such initiatives have now become integral components of social protection systems in many developing countries, including Pakistan. Evaluating the efficacy of these safety nets is crucial to comprehend their value in terms of public expenditure. This research employed a well-being index to gauge the impact of unconditional cash transfers on the socioeconomics of recipients. By employing three rounds of the BISP impact assessment survey conducted in 2011, 2016, and 2019. The study measured the overall impact of cash transfers on well-being by utilizing Principal Component Analysis in conjunction with a Difference-in-Differences Quasi-Experimental design over the years. The findings of the study indicate that between 2011 and 2016, the socioeconomic status declined for both treatment and control groups, but the reduction was less pronounced among those who received treatment compared to the control group with insignificant. From 2016 to 2019, there was a marginal positive increase in socioeconomic status, although it was of insignificance. Overall, the well-being of both the control and treatment groups decreased from 2011 to 2019, with a slightly more pronounced improvement observed in the treatment group. This trend suggests that the impact of the BISP unconditional cash transfer program had a limited effect on altering the well-being of the beneficiaries. The lack of substantial impact from the BISP’s cash transfers on household well-being can be attributed to factors such as inflation, unemployment, economic slowdown, payment challenges, insufficient funding, and gaps between installments. The government of Pakistan should reconsider the substantial investment in BISP within the context of value for money. It is advisable for the government and policymakers to channel this substantial investment into income generation, capital asset development, microbusinesses, climate-resilient agriculture, and livestock in order to stimulate the real economy sectors.

Cash Transfer Program in Olilan Village, Walea Islands Sub-District, Tojo Una-Una District

The purpose of this study was to determine the Direct Cash Assistance Program (BLT) in Olilan Village, Walea Islands Sub-district, Tojo Una-Una Regency. The research method used is a qualitative method, which is a method that analyzes and interprets words and interview results with the aim of finding the meaning of a phenomenon. The data collection techniques used were observation, interview and documentation. The data analysis technique used is the Miles and Huberman interactive model. Based on the results of the research, the analysis of the discussion of this study concludes that the direct cash transfer program (BLT) seen from the aspects of socialization, data, delay in disbursement, assistance has not been optimally carried out in Olilan Village, Walea Islands Sub-district, Tojo Una-una Regency. From the socialization aspect, this program has not been effective because the village apparatus still lacks socialization and synchronization in the implementation of the Direct Cash Assistance Program (BLT). From the data aspect, this program was also not effective because the existing data did not accommodate the poor who really needed BLT. In addition, from the aspect of delayed disbursement, this program has not run well because the disbursement of assistance through BLT is often not on time. The schedule for the distribution of assistance that had been determined through a joint meeting between the village government and the beneficiary community was often not in accordance with the plan or time that had been determined.

Changing carbon footprints and the consequent impacts of carbon taxes and cash transfers on poverty and inequality across years: A Peruvian case study

Carbon taxes are key policies to achieve climate goals. Yet, they increase prices especially in the short term, and can affect households’ income depending on their carbon footprints. Cash transfer programs can be used to address adverse social impacts and protect the poorest. However, because carbon footprints, and the consequent tax impacts, may change over time it is important to understand how to design and adapt such cash transfer programs accordingly. As the existing studies focus on single years, we address the gap in the literature in two steps. First, we estimate changes in carbon footprints and their drivers over time; second, we simulate the effects of a carbon tax in combination with cash transfers on poverty and inequality for the years 2004, 2007 and 2011 in Peru. We combine a bottom-up household carbon footprint estimation, and multiple scenarios simulation. We show that, in a context of rapid economic growth, footprints increase over time, particularly for lower deciles. Most importantly, the distributional impacts of a reform combining carbon tax and cash transfers change by year. The paper concludes that, to maximize poverty and inequality reduction, the design of cash transfer programs and tax levels need to be adapted over time.

Social mobility and CCT programs: The Bolsa Família program in Brazil

We investigate long-term outcomes related to social mobility and their determinants for low-income Brazilian households. More precisely, the first cohorts of beneficiaries of the Conditional Cash Transfer (CCT) program Bolsa Família (BFP); children aged between 7 and 16 in 2005, who are tracked for over a decade, until 2019. We use individual-level administrative data to analyze our two indicators of social mobility: (i) future emancipation from federal government social programs, and (ii) access to the formal labor market. We observe that formerly vulnerable children, beneficiaries of the CCT, find themselves in better socioeconomic conditions in adulthood. While 64 % of them, aged between 21 and 30 years in 2019, were no longer beneficiaries of federal government social programs, 45 % accessed the formal labor market at least once between 2015 and 2019. We also compare the characteristics of the formal employment they access with those of non-BFP beneficiaries during the same period. They have worse employment conditions, although better than informal positions typical of their parents. Furthermore, we investigate the association between local sociodemographic characteristics and individual social mobility. We find significant territorial heterogeneity associated with differences in better health and education infrastructures, and local economic activity.

Interventions for intimate partner violence during the perinatal period: A scoping review: A systematic review.

Intimate partner violence (IPV) is a prevalent global health problem. IPV that occurs before pregnancy often continues during the perinatal period, resulting in ongoing violence and many adverse maternal, obstetrical, and neonatal outcomes. This scoping review is designed to broadly capture all potential interventions for perinatal IPV and describe their core components and measured outcomes. We conducted a search for empirical studies describing IPV interventions in the perinatal population in June 2022. The search was conducted in MEDLINE, EMBASE, PsycInfo, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science, Applied Social Sciences Index & Abstracts, ClinicalTrials.gov and MedRxiv. Hand searching of references from select articles was also performed. Included studies described an intervention for those experiencing IPV during the perinatal period, including 12 months before pregnancy, while pregnant or in the 12 months post-partum. The search encompassed January 2000 to June 2022 and only peer-reviewed studies written in either English or French were included. Included interventions focused on the survivor exposed to IPV, rather than healthcare professionals administering the intervention. Interventions designed to reduce IPV revictimization or any adverse maternal, obstetrical, or neonatal health outcomes as well as social outcomes related to IPV victimization were included. We used standard methodological procedures expected by The Campbell Collaboration. In total, 10,079 titles and abstracts were screened and 226 proceeded to full text screening. A total of 67 studies included perinatal IPV interventions and were included in the final sample. These studies included a total of 27,327 participants. Included studies originated from 19 countries, and the majority were randomized controlled trials (n = 43). Most studies were of moderate or low quality. Interventions included home visitation, educational modules, counseling, and cash transfer programs and occurred primarily in community obstetrician and gynecologist clinics, hospitals, or in participants' homes. Most interventions focused on reducing revictimization of IPV (n = 38), improving survivor knowledge or acceptance of violence, knowledge of community resources, and actions to reduce violence (n = 28), and improving maternal mental health outcomes (n = 26). Few studies evaluated the effect of perinatal IPV interventions on obstetrical, neonatal or child health outcomes. The majority of intervention studies for perinatal IPV focus on reducing revictimization and improving mental health outcomes, very few included obstetrical, neonatal, and other physical health outcomes. Future interventions should place a larger emphasis on targeting maternal and neonatal outcomes to have the largest possible impact on the lives and families of IPV survivors and their infants.

Trends in Complementary Feeding Indicators in Children Aged 6-23 Months According to Participation in a Conditional Cash Transfer Program: Data from the Brazilian Food and Nutrition Surveillance System, 2015-2019.

Inadequate practices during complementary feeding are associated with malnutrition, especially in children experiencing vulnerable conditions and social inequality. The aim of this study was to evaluate the trends in complementary feeding indicators (CFIs) according to participation in a Brazilian cash transferu program-the Bolsa Família Program (BFP). This was a time-series study with secondary data from 600,138 children assisted from 2015 to 2019 and registered within the Brazilian Food and Nutrition Surveillance System. The CFIs assessed were food introduction, minimum meal frequency and appropriate consistency, minimum dietary diversity, iron-rich food, vitamin A-rich food, ultra-processed food consumption, and zero vegetable or fruit consumption. Prevalence and 95% confidence intervals were calculated for the CFIs according to BFP, the region of residence, and the child's age. The Prais-Winsten regression method was used to analyze the temporal trend. There was a steady trend for all CFIs of a healthy diet. A decrease in ultra-processed food consumption for both BFP (-10.02%) and non-BFP children (-9.34%) was observed over the years. Children residing in the North and Northeast regions and those enrolled in the BFP were more distant from the recommended feeding practices when compared to the other regions and non-BFP children. The results highlight the relevance of nutritional surveillance and the need to improve food and nutrition public policies for children aged 6-23 months, particularly for those experiencing greater social vulnerability.

Improving Women’s Position in the Household: Evidence from a Maternity Cash Transfer Programme in India

Improving Women’s Position in the Household: Evidence from a Maternity Cash Transfer Programme in India

The impact of welfare design on consumption patterns of the poor: Evidence from the recent Dibao reform in rural China

In the recent anti-poverty campaign, China's minimum livelihood guarantee program (called Dibao in Chinese) experienced significant changes in that it now includes both cash transfer and special assistances such as education and healthcare subsidies. Therefore, the current Dibao program in China is a composite cash transfer program containing the nature of both unconditional and conditional cash transfers. This paper is the first attempt to examine the impact of a composite cash transfer program on consumption patterns of the poor population by utilizing exogenous variation in the differential size of increases in Dibao subsidy lines across cities. We find that the Dibao reform has a significantly positive effect on total consumption of poor households. In particular, the generosity of this composite cash transfer program increased human capital expenditures to a large extent including expenditures on healthcare and children's education. The Dibao reform also generates positive spillovers such as increasing school enrollment and improving academic performance for children in Dibao families.

Empowering economies: The role of cash transfer programs in poverty alleviation

Empowering economies: The role of cash transfer programs in poverty alleviation

A Narrative Review: How to Optimize Program Keluarga Harapan in Addressing Nutritional Issues in Indonesia

Indonesia's Conditional Cash Transfer (CCT) program, Program Keluarga Harapan (PKH), aims to alleviate poverty and improve access to essential services. However, its effectiveness in addressing the root causes of poverty, malnutrition, and stunting has been subject to criticism, as it primarily focuses on alleviating immediate financial constraints. This literature review critically analyses the existing research on the PKH program's effectiveness in addressing nutritional issues in Indonesia. Literature selection, data extraction, and analysis were employed. Based on the literature search strategy and criteria, four key papers were collected. These studies indicated that CCT/PKH could not stand alone in tackling nutritional problems. There are several supporting components that should be taken into consideration in implementing the programme, including 1) the requirement of a standardized healthcare facility; 2) focusing on quality in small numbers rather than covering a wide scale with minimum impact; 3) supplementing CCT/PKH with health education and promotion programme; and 4) improving access to health and nutritional services. A whole-system approach, involving various stakeholders and integrating targeted interventions, has the potential to break the intergenerational cycle of poverty and ensure a healthier future for all Indonesians.

Economic performance of the pairing-off poverty alleviation between China’ cities

This study evaluates the economic performance of China's East-West pairing-off poverty alleviation, a policy enacted in 2016 aiming to eradicate absolute poverty by 2020 through substantial fiscal transfers from the assisting cities to the assisted impoverished counties. Employing a counterfactual framework and analyzing data from 2013 to 2018, this research assesses the economic performance of China's East-West pairing-off poverty alleviation. Our findings reveal a negative impact of the fiscal pressure burdened by the assisting cities on their economic performance. Meanwhile, the allocation of anti-poverty funds to the assisted counties does not exhibit a significant impact on their economic outcomes. The mechanism analysis suggests that the fiscal pressure experienced by the assisting cities shows negative impacts on fixed assets investment, innovation activities, and economic growth expectations. Further analysis indicates a negative relationship between the policy and the growth of secondary industry and rural income in the eastern regions, while simultaneously identifying a positive impact on the enterprises' financial burden. These results underscore the complex economic trade-offs inherent in poverty alleviation strategy transferring fiscal funds from developed regions to less developed regions and call for a global understanding of pure cash transfer programmes' impacts.

A comparison between different models of delivering maternal cash transfers in Myanmar.

As part of a randomized controlled trial conducted in Myanmar between 2016 and 2019, we explore the performance of a maternal cash transfer program across villages assigned to different models of delivery (by government health workers vs loan agents of a non-governmental organization) and identify key factors of success. Measures include enrolment inclusion and exclusion errors, failures in payment delivery to enrolled beneficiaries (whether beneficiaries received any transfer, fraction of benefits received and whether there were delays and underpayment of benefit amounts) and whether beneficiaries remained in the program beyond eligibility. We find that women in villages where government health workers delivered cash transfers received on average two additional monthly transfers, were 19.7% more likely to receive payments on time and in-full and were 14.6% less likely to stay in the program beyond eligibility. With respect to the primary health objective of the program-child nutrition-we find that children whose mother received cash by government health workers were less likely to be chronically malnourished compared to those whose mother received cash by loan agents. Overall, the delivery of cash transfers to mothers of young children by government health workers outperforms the delivery by loan agents in rural Myanmar. Qualitative evidence suggests two key factors of success: (1) trusted presence and past interactions with targeted beneficiaries and complementarities between government health workers' expertise and the program; and (2) performance incentives based on specific health objectives along with top-down monitoring. We cannot exclude that other incentives or intrinsic motivation also played a role.

Impacts of Conditionalities on Cash Transfer Beneficiaries in Osun State, Nigeria

The study examined the conditionalities of the cash transfer programme in Osun state, Nigeria. It examined the level of compliance of the beneficiaries of the programme and investigated the impacts of conditionalities of the cash transfer programme. A descriptive research design was adopted for the study and a sample size of 240 respondents was involved. Twenty-four communities were purposively selected for the study in Osun State. Ten recipients of the cash transfer programme were selected from each of the 24 communities using a simple random sampling technique. A research instrument was used for data collection known as the ‘Beneficiaries’ Questionnaire on Impacts of Conditionalities on Cash Transfer programme in Osun State’. Data collected were subjected to percentage analysis. Findings showed that the majority of the programme’s beneficiaries complied with the requirements or conditions attached to it. The findings of the study equally showed that the conditional cash transfer programme has changed the orientation of the beneficiaries on regular visitation to maternity centres. The study therefore concluded that for any poverty alleviation programme to be successful in Nigeria, especially in Osun state, conditionalities must be attached and beneficiaries should be encouraged to comply.

Do cash transfer programs have different effects on children based on household disability status? Evidence from Malawi and Zambia

Do cash transfer programs have different effects on children based on household disability status? Evidence from Malawi and Zambia

Effect of social and behavioral change interventions on minimum dietary diversity among pregnant women and associated socio-economic inequality in Rajasthan, India

BackgroundMaternal dietary diversity is a key to improving the birth and child health outcomes. Besides socio-economic factors, the nutrition specific program- Social and Behavioural Change Communication (SBCC) interventions aimed to improve maternal dietary diversity has varied levels of impact on the socio-economic groups in poor resource setups.ObjectiveTo measure the factors associated with the minimum dietary diversity (MDD) among pregnant women in selected districts of Rajasthan with special emphasis on the SBCC components. Additionally, it measures the socio-economic gaps in the behaviour of consumption of diversified diet during pregnancy.MethodsData from a cross sectional survey of 6848 pregnant women, who have received a continuous SBCC counselling and registered under a state introduced conditional cash transfer program, during May to June, 2023, in five intervention districts -Banswara, Baran, Dunagrpur, Pratapgarh and Udaipur in Rajasthan was used. A 24 h recall based food consumption behaviour has been gathered to measure the MDD of pregnant women. Study has used descriptive statistics, multivariate regressions, and multivariate decomposition analysis to address the research objectives.ResultsStudy finds that only 55.2% of pregnant women are consuming diverse diet in the study duration with mean dietary diversity score is 4.8 (+/- 1.5). Logistic regression finds that SBCC components such as frontline workers (aOR = 1.3, CI: 1.1–1.4), community motivators (aOR = 1.9, CI: 1.7–2.1), and participation in MCHND (aOR = 1.0, CI: 0.9-1.2) have significant and higher likelihood on consumption of MDD food on previous day. A higher education and belonging from richer wealth quintile also show higher association for consumption of MDD. Multivariate decomposition shows, among richest and poorest wealth categories there is 19% point difference (58% difference due to coefficient vs. 42% difference due to composition) in MDD consumption. This is positively contributed by the caste and educational categories of women.ConclusionDespite a predominant vegetarian diet consuming population, better maternal dietary diversity was observed among those exposed to higher dose of SBCC intervention package. Educational status and caste of the respondent were significantly associated with minimum dietary diversity and contributed to the socio-economic inequality highlighting the importance of tailored and sustained SBCC interventions.

Unconditional cash transfer programs and women’s empowerment: evidence from Pakistan

AbstractThis study explores the impact of unconditional cash transfers on the multiple dimensions of women’s empowerment in Pakistan. Emphasizing the importance of cultural and religious norms, empowerment is considered as a latent construct manifested through three distinct choice dimensions, viz., “self,” “familial,” and “economic.” For the empirical estimation, a structural equation model is used on the country-representative Impact Evaluation Survey data of 2015–16 for the Benazir Income Support Program. The measurement model identifies various indicators for the dimensions considered. The results confirm the importance of providing cash transfers to the country's poorest women in all three dimensions, while the impact on self-choices is almost 40% that of the impact on the other two aspects of empowerment. Our findings provide recommendations for the successful implementation of social assistance programs.

Investigating linkage to care following community-based screening for hepatitis B virus in rural Senegal: A mixed methods study.

This paper investigates linkage to care following community-based screening for hepatitis B virus (HBV) in rural Senegal. HBV-positive participants who completed a biological and clinical examination to assess liver disease and treatment eligibility were referred to a regional hospital (if eligible for treatment), invited to join the Sen-B research cohort study (adults with detectable viral load) or referred to their local health centre (all others). Logistic regressions were conducted to investigate factors associated with (i) uptake of the scheduled post-screening examination, and (ii) HBV management initiation. Obstacles to HBV management were identified using thematic analysis of in-depth patient interviews. Of the 206 HBV-positive participants, 163 (79.1%) underwent the examination; 47 of the 163 (28.8%) initiated HBV management. Women, people not migrating for >6 months/year, individuals living in households with more agricultural and monetary resources, with other HBV-positive participants, and beneficiaries of the national cash transfer program, were all more likely to undergo the examination. The likelihood of joining the Sen-B cohort increased with household monetary resources, but decreased with agricultural resources. Initiation of HBV management in local health centre was higher among participants with a non-agricultural economic activity. Individuals reported wariness and confusion about HBV management content and rationale at various stages of the care continuum, in particular with respect to venous blood sampling and management without treatment. In conclusion, HBV community-based test-and-treat strategies are feasible, but early loss to follow-up must be addressed through simplified, affordable management and community support and sensitization.

The Impact of Administrative Burdens in Ghana’s LEAP Cash Transfer Programme: Insights for Enhancing Well-being

This article reports experiences and challenges connected with Ghana’s Livelihood Empowerment Against Poverty (LEAP) programme and its implications for grant access and impacts on recipients’ well-being. Engaging with the administrative burden’s framework, we find that inadequate information; transport, timing and financial barriers to accessing payments; irregularity of payments; electronic payment difficulties; gift giving to programme administrators; and lack of access to complementary services are the key administrative challenges watering down the LEAP impacts on recipients’ well-being. We recommend establishing an appropriate information delivery system, feedback and monitoring mechanisms, providing other productivity-enhancing services to complement the LEAP grant, strengthening the local implementation structures and payment procedures and reducing travel costs and waiting time for service delivery.

How can child assistance policy supporting familisation be supported?

PurposeThis study examines the public’s perception of cash transfers for children in societies where children's welfare is often viewed as a private affair.Design/methodology/approachBased on 12 semi-structured interviews and Focus Group Discussions (FGDs) conducted in urban Jakarta, Indonesia, we explore mothers' perspectives on cash transfer programmes for children within low-income families during fieldwork in October 2023 and January 2024. In addition to the semi-structured interview, a FGD involving parents and other related stakeholders was conducted to increase data accuracy.FindingsOur findings reveal that cash transfers function as a “caregiving allowance” in Jakarta, allowing mothers to prioritize familial obligations while maintaining a reasonable standard of living. Contrary to the “de-familisation” focus observed in advanced welfare countries, these cash transfers for children reinforce traditional family labour division (familisation). Interestingly, despite reinforcing the familisation function, the initiative receives significant support. These results clearly highlight the influence of familisation-oriented welfare production, demonstrating a focus on enhancing family resilience in the design of child-related policies in Indonesia. Overall, these results make clear the visibility of traditional division of labour influences on welfare production, revealing a focus on the familialisation effect in the design of child-related policies in Indonesia. These findings reinforce the suitability of the term “familistic welfare regime” as an appropriate descriptor for Jakarta in particular and Indonesia in general.Originality/valueThis study enriches our understanding of the evolution of child-related assistance in the Global South through a defamilisation lens, shedding light on the complex interplay between gender inequalities and social policy formulation in these regions. Furthermore, it offers valuable insights into the ongoing discourse on welfare regime studies in Indonesia, suggesting that mainstream narratives of productivist transition are only partially validated. The insights garnered from this research open avenues for future studies across diverse contexts.

Partisanship, Cross-Party Coalitions, and Social Policymaking in Brazil

Abstract Brazil is among the few countries where income distribution has become fairer in recent decades. Its Gini coefficient fell significantly in the 2000s while the left-wing Workers’ Party government approved key equity-enhancing reforms in Congress. By analyzing hundreds of news pieces, legislative documents, and secondary sources, I show the strategies that incumbents from the left adopted to build and manage cross-party coalitions that allowed structural changes to materialize. This research is the first systematic effort to detail how three consequential redistributive policies in the areas of conditional cash-transfer programs, education, and minimum wages found their way through a fragmented legislature where the chief executive’s party was minoritarian. Findings add nuance to social policymaking and reveal that partisanship-based approaches to how inequality declined in Latin America require deeper complexification. In the Brazilian case, leftist presidents improved redistribution by investing in multiparty cooperative arrangements while ideology got diluted in the process.